Intervention programs are rarely tailored for children with self-regulation and communication challenges. Therefore, clinicians develop their own programs as is the case with the preschool program Tumbling Together. This program combines occupational therapy, speech-language therapy, and gymnastics.
Purpose.
The aim of this study was to take an in-depth look at the program to answer the following questions: (a) What are the fundamental concepts of the program? and (b) What is the underlying theoretical model that illustrates the relationships between concepts?
Method.
The qualitative research method of grounded theorizing using situational analysis was employed.
Findings.
Fourteen main concepts of the program were identified and informed the development of a theoretical model.
Implications.
A theoretical model incorporating Tumbling Together’s concepts is a first step in evaluating its efficacy. Although the concepts involved are not novel, their unique combination forms a promising intervention approach for this population.
Description.
Les programmes d’intervention sont rarement adaptés aux enfants ayant des problèmes d’autorégulation et de communication. Cependant, les cliniciens conçoivent leurs propres programmes, comme dans le cas du programme préscolaire Tumbling Together. Il s’agit d’un programme combiné d’ergothérapie, d’orthophonie et de gymnastique.
But.
Le but de cette étude était d’examiner le programme en profondeur afin de répondre aux questions suivantes : (1) Quels sont les concepts fondamentaux du programme? et (2) Quel est le modèle théorique sous-jacent qui illustre les relations entre les concepts?
Méthodologie.
La méthode de recherche qualitative qui consiste à élaborer une théorie fondée sur les données à partir d’une analyse situationnelle a été utilisée.
Résultats.
Les quatorze principaux concepts du programme ont été identifiés et ont permis d’orienter l’élaboration d’un modèle théorique.
Conséquences.
Le modèle théorique incorporant les concepts du programme Tumbling Together constitue la première étape de l’évaluation de son efficacité. Bien que les concepts en jeu ne soient pas nouveaux, leur combinaison unique constitue une méthode d’intervention prometteuse pour cette population.
Association of Canadian Occupational Therapy Regulatory Organizations. (2011). Essential competencies of practice for occupational therapists in Canada. Retrieved fromhttp://www.coto.org/pdf/Essent_Comp_04.pdf
2.
BajnokI.PuddesterD.MacdonaldC. J.ArchibaldD.KuhlD. (2012). Building positive relationships in healthcare: Evaluation of the teams of interprofessional staff interprofessional education program. Contemporary Nurse, 42, 76–89.
3.
BellA.CorfieldM.DaviesJ.RichardsonN. (2010). Collaborative transdisciplinary intervention in early years: Putting theory into practice. Child: Care, Health and Development, 36, 142–148. doi:10.1111/j.1365-2214.2009.01027.x
4.
BlairC. (2002). School readiness: Integrating cognition and emotion in a neurobiological conceptualization of children's functioning at school entry. American Psychologist, 57, 111–127. doi:10.1037//0003-066X.57.2.111
5.
BrewerK.PollockN.WrightF. V. (2014). Addressing the challenges of collaborative goal setting with children and their families. Physical & Occupational Therapy in Pediatrics, 34, 138–152. doi:10.3109/01942638.2013.794187
6.
BrickerD. (2001). The natural environment: A useful construct?Infants and Young Children, 13(4), 21–31.
7.
BurrissK. G.TsaoL. (2002). Review of research: How much do we know about the importance of play in child development?Childhood Education, 78, 230–233. doi:10.1080/00094056.2002.10522188
8.
CamdenC.TétreaultS.SwaineB. (2012). Increasing the use of group interventions in a pediatric rehabilitation program: perceptions of administrators, therapists, and parents. Physical & Occupational Therapy in Pediatrics, 32, 120–135. doi:10.3109/01942638.2011.616267
9.
Canadian Association of Speech-Language Pathologists and Audiologists. (2004). Assessing and certifying clinical competency: Foundations of clinical practice for audiology and speech-language pathology. Retrieved fromhttp://www.caslpa.ca/PDF/2004%20fnd%20doc%20whole%20book.pdf
10.
Case-SmithJ. (2013). Systematic reviews of the effectiveness of interventions used in occupational therapy early childhood services. American Journal of Occupational Therapy, 67, 379–382. doi:10.5014/ajot2013.007872
11.
Case-SmithJ.ArbesmanM. (2008). Evidence-based review of interventions for autism used in or of relevance to occupational therapy. American Journal of Occupational Therapy, 62, 416–429. doi:10.5014/ajot.62.4.416
12.
ClarkeA. E.FrieseC. (2007). Grounded theorizing using situational analysis. In BryantA.CharmazK. (Eds.), The Sage handbook of grounded theory (pp. 363–397). Thousand Oaks, CA: Sage.
13.
CorselloC. M. (2005). Early intervention in autism. Infants and Young Children, 18, 74–85.
14.
CraigP.DieppeP.MacintyreS.MichieS.NazarethI.PetticrewM. (2008). Developing and evaluating complex interventions: The new Medical Research Council guidance. British Medical Journal, 337, Article 1655. doi:10.1136/bmj.a1655
15.
CreswellJ. W. (2013). Research design, qualitative, quantitative, and mixed methods approaches (4th ed.). Thousand Oaks, CA: Sage.
16.
D’AmourD.Ferrada-VidelaM.San Martin RodriguezL.BeaulieuM.-D. (2005). The conceptual basis for interprofessional collaboration: Core concepts and theoretical frameworks. Journal of Interprofessional Care, 19(s1), 116–131. doi:10.1080/13561820500082529
17.
DunfordC. (2011). Goal-oriented group intervention for children with developmental coordination disorder. Physical & Occupational Therapy in Pediatrics, 31, 288–300. doi:10.3109/01942638.2011.565864
18.
EisenbergN.SadovskyA.SpinardT. L. (2005). Associations of emotion-related regulation with language skills, emotion knowledge, and academic outcomes. New Directions for Child and Adolescent Development, 2005(109), 109–118. doi:10.1002/cd.143
19.
FavaL.StraussK.ValeriG.D’EliaL.ArimaS.VicariS. (2011). The effectiveness of a cross-setting complementary staff- and parent-medicated early intensive behavioral intervention for young children with ASD. Research in Autism Spectrum Disorders, 5, 1479–1492. doi:10.1016/j.rasd.2011.02.009
20.
GlogowskaM.CampbellR.PetersT. J.RoulstoneS.EnderbyP. (2002). A multimethod approach to the evaluation of community preschool speech and language therapy provision. Child: Care, Health and Development, 28, 513–521. doi:10.1046/j.1365-2214.2002.00297.x
21.
GolosA.SaridM.WeillM.WeintraubN. (2011). Efficacy of an early intervention program for at-risk preschool boys: A two-group control study. American Journal of Occupational Therapy, 65, 400–408. doi:10.5014/ajot.2011.000455
22.
GreenspanS.ShankerS. (2004). The first idea: How symbols, language, and intelligence evolved from our primate ancestors to modern humans. Cambridge, MA: First Da Capo Press.
23.
HechlerT.RuheA.SchmidtP.HirschJ.WagerJ.DobeM.ZernikowB. (2014). Inpatient-based intensive interdisciplinary pain treatment for highly impaired children with severe chronic pain: Randomized controlled trial of efficacy and economic effects. Pain, 155, 118–128. doi:10.1016/j.pain.2013.09.015
24.
HillsA. P.KingN. A.ArmstrongT. P. (2007). The contribution of physical activity and sedentary behaviours to the growth and development of children and adolescents. Sports Medicine, 37, 533–545. doi:10.2165/00007256-200737060-00006
25.
HornE.KangJ. (2012). Supporting young children with multiple disabilities: What do we know and what do we still need to learn?Topics in Early Childhood Special Education, 31, 241–248. doi:10.1177/0271121411426487
26.
HourcadeJ.PilotteT. E.WestE.ParetteP. (2004). A history of augmentative and alternative communication for individuals with severe and profound disabilities. Focus on Autism and Other Developmental Disabilities, 19, 235–244. doi:10.1177/10883576040190040501
27.
HowellD. M.WittmanP.BundyM. B. (2012). Interprofessional clinical education for occupational therapy and psychology students: A social skills training program for children with autism spectrum disorder. Journal of Interprofessional Care, 26, 49–55. doi:10.3109/13561820.2011.620186
28.
KaderavekJ. (2011). Children with specific language impairment. In JohnstonJ.StephenD.BennettB. (Eds.), Language disorders in children: Fundamental concepts of assessment and intervention (pp. 175–209). Upper Saddle River, NJ: Pearson Education.
29.
KasariC.GulsrudA.FreemanS.PaparellaT.HellemannG. (2012). Longitudinal follow-up of children with autism receiving targeted interventions on joint attention and play. Journal of the American Academy of Child & Adolescent Psychiatry, 51, 487–495. doi:10.1016/j.jaac.2012.02.019
30.
KawaiY.OxfordR. L.Iran-NejadA. (2000). Sources of internal self-regulation with a focus on language learning. Journal of Mind and Behavior, 21, 45–60.
31.
KingG.McDougallJ.PalisanoR.GritzanJ.TuckerM. A. (2000). Goal attainment scaling: Its use in evaluating pediatric therapy programs. Physical & Occupational Therapy in Pediatrics, 19(2), 31–52. doi:10.1080/J006v19n02_03
32.
KroesbergenE. H.Van LuitJ. E. H. (2003). Mathematics interventions for children with special educational needs: A meta-analysis. Remedial and Special Education, 24, 97–114. doi:10.1177/07419325030240020501
33.
LawJ.GarrettZ.NyeC. (2003). Speech and language therapy interventions for children with primary speech and language delay or disorder. Cochrane Database of Systematic Reviews (Online), 3, CD004110.
34.
LifterK.Foster-SandaS.ArzamarskiC.BrieschJ.McClureE. (2011). Overview of play: Its uses and importance in early intervention/early childhood special education. Infants and Young Children, 24, 225–245. doi:10.1097/IYC.0b013e31821e995c
35.
LloydR. J. (2012). Moving to learn and learning to move: A phenomenological exploration of children's climbing with an interdisciplinary movement consciousness. Humanistic Psychologist, 40, 23–37. doi:10.1080/08873267.2012.643683
36.
LoiselleC.ChamberlainJ. (2010). Tumbling Together program manual. Unpublished manuscript.
37.
MorseJ. M. (2007). Sampling in grounded theory. In BryantA.CharmazK. (Eds.), The Sage handbook of grounded theory (pp. 229–244). Thousand Oaks, CA: Sage.
38.
NeuenschwanderR.RöthlisbergerM.CimeliP.RoebersC. M. (2012). How do different aspects of self-regulation predict successful adaptation to school?Journal of Experimental Child Psychology, 113, 353–371. doi:10.1016/j.jecp.2012.07.004
39.
OdomS. L.WoleryM. (2003). A unified theory of practice in early intervention/early childhood special education: Evidence-based practices. Journal of Special Education, 37, 164–73. doi:10.1177/00224669030370030601
40.
OwensR. (2010). Language disorders: A functional approach to assessment and intervention (5th ed.). Boston, MA: Pearson Education.
41.
PenningtonL.ThomsonK. (2007). It takes two to talk: The Hanen Program® and families of children with motor disorders. A UK perspective. Child: Care, Health and Development, 33, 691–702. doi:10.1111/j.1365-2214.2007.00800.x
42.
Pinborough-ZimmermanJ.SatterfieldR.MillerJ.BilderD.HossainS.McMahonW. (2007). Communication disorders: Prevalence and comorbid intellectual disability, autism, and emotional/behavioral disorders. American Journal of Speech-Language Pathology, 16, 359–367. doi:10.1044/1058-0360(2007/039)
43.
QuiggJ. (2003). Effectiveness of group work for children with learning disabilities. International Journal of Therapy and Rehabilitation, 10, 29–33.
44.
QuillK. A. (2000). Do-watch-listen-say: Social and communication intervention for children with autism. Baltimore, MD: Paul H. Brookes.
45.
RamahN. (2014). The effects of square-stepping exercises on cognitive skills for kindergarten age children. Science, Movement and Health, 14
(1), 126–130.
46.
RapportM. J. K.McWilliamR. A.SmithB. J. (2004). Practices across disciplines in early intervention the research base. Infants and Young Children, 17, 32–44.
47.
RimmerJ. H. (1999). Health promotion for people with disabilities: The emerging paradigm shift from disability prevention to prevention of secondary conditions. Physical Therapy, 79, 495–502.
48.
StraussA. L.CorbinJ. M. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). Thousand Oaks, CA: Sage.
49.
SymonJ. (2001). Parent education for autism. Journal of Positive Behavior Interventions, 3, 160–174. doi:10.1177/109830070100300304
50.
VaughnS.GerstenR.ChardD. J. (2000). The underlying message in LD intervention research: Findings from research syntheses. Exceptional Children, 67, 99–114.
51.
VaughnS.KimA.Morris SloanC.HughesM.ElbaumB.SridharD. (2003). Social skills interventions for young children with disabilities. Remedial and Special Education, 24, 2–15. doi:10.1177/074193250302400101
52.
WimporyD. C.HobsonR. P.NashS. (2007). What facilitates social engagement in preschool children with autism?Journal of Autism and Developmental Disorders, 37, 564–573. doi:10.1007/s10803-006-0187-x
53.
WoodsJ. J.WilcoxJ. M.FriedmanM.MurchT. (2011). Collaborative consultation in natural environments: Strategies to enhance family-centered supports and services. Language & Hearing Services in Schools, 42, 379–392.
54.
WolfbergP. J.SchulerA. L. (1993). Integrated play groups: A model for promoting the social and cognitive dimensions of play in children with autism. Journal of Autism and Developmental Disorders, 23, 467–489. doi:10.1007/BF01046051
